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ELECTRICAL PERMIT WLICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 (E)everetteps(ceverettwa.gov www.everettwa-gov/permits
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<br /> PROJECT ADDRESS: BC i 1
<br /> BUILDING AREA(if residential,new construction,remodel,or addition) Q SF
<br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX O MULTI-FAMILY-#OF UNITS: COMMERCIAL
<br /> USE OF BUILDING:
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<br /> CONTRACT PRICE OF WORK:5 Taj O()O
<br /> NUMBER OF DEVICES(if low voltage): 61N ,( and r_,,►- Al-/ ( dv1OLf
<br /> FIRE ALARM? El YES JaNO j_
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: 1 n5}( Seg./L awrm �.,PYY)
<br /> OWNER NAME: -MIA Be.r1 TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDRESS: STREET
<br /> CITY STATE ZIP
<br /> OWNER PHONE: OWNER EMAIL:
<br /> CONTRACTOR NAME: ALL TE.C11-4
<br /> CONTRACTOR ADDRESS: Pgrark
<br /> M C c[ al 4.le) STATE LQ J14:1 ZIPg8a7o
<br /> CONTRACTOR PHONE:k+, t 53 +`CONTRACTOR EMAIL: yj t� (" '�f!4j / , 7
<br /> CONTRACTOR LIC.#(REQUIRED): VLL sICt ,St)B CITY OF EVERETT BUSINESS LLC.#(REQUIRE 1
<br /> PRIMARY CONTACT: El OWNER prCONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 4916—MD—,1 `1 �n
<br /> e„k RMSs i CONTACT EMAIL: 1��feel)l CI ' nEfAGREEMENT-I hereby certify that t have read and examined this application and know the same too be true a»d con'ecC All provisions oroinances governing this type
<br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to gAe aulhotty to violate or Cancel the provisions of any other state or
<br /> tocol law regulating construction or the performance of constnrctwn. That I an,authorized by the owner of fhIs property to perfomr the work for which application is made and I
<br /> comply with the State Contractors Law 18.27 RCW and 295.200 WAC
<br /> jCity of Everett Official Use Only
<br /> i PERMIT#
<br /> %;/ %/ E 1 %o(4 -0�s
<br /> Owner/A off : mSignature na (Revised 9/23/2016)
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